SI-MNH-284G 
6-23-67 
PMS LABORATORY FORM 
Species 
A. - - WaA 
Number 
— A'-A— 
Dates: processed ^ — ■„ collected '-3 — . 
V—. l_y Xr _ WiVX - _*=■_*. h 
soft parts ) 
Locality 
y 7 
Sex £>_ (dissection 
3— 
Age __ArbrL_( skul L/ plumage soft parts ) 
Weight Fat kr_ Molt. 
Disposition: ( skin skelton ^ alco holic ^) discard) Preparators-^ 
Ectoparasite Exam: Visual Other . 
v3> 
Ectoparasites 
Ectoparasite Virus Report 
Blood Sample: Single Pool — 
Plasma Analysis Tests: VI 
Plasma Virus Report. VI: Negative Positive 
HI 
HI 
HI 
N: 
Blood Smear stain (s) 
Blood Smear Results 
B 
Remarks — XLy\ 
HI N 
Virus 
